Gresham Optical, Inc

LBN: Gresham Optical, Inc
Gresham Optical, Inc is an health care organization with primary practice located at 2150 Ne Division St Suite 101, Gresham OR 97030-5813. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Gresham Optical, Inc can be contacted via phone (503) 667-2424, or through Brophy, Greg E via phone (503) 667-2424.

Contact Information

Primary practice address
2150 Ne Division St Suite 101 Gresham OR 97030-5813
Phone: (503) 667-2424
Fax: (503) 492-3236
Website:
Map and Directions
Authorized official contact:
Name: Brophy, Greg E Doctor of Optometry (OD)
Phone: (503) 667-2424

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1760636005
LBN Legal business name Gresham Optical, Inc
DBA Doing business as
Authorized official Brophy, Greg E Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2008
Last updated Aug 27th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760636005 NPPES
Oregon MEDICAID 001060

Popular Providers